Eric J. Hollie, LISW-S

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

I.1201368.SUPV. Issued in OH

Practice address

260 Northland Blvd Ste 305B
Cincinnati, OH 45246-3652

Phone

(513) 212-0427

NPI assigned

May 22, 2013

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in OH

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Mindfully, LLC

  • Counselor
  • Fairfield, OH
  • NPI 1972702520

  Mental Health

  Medicare reassignment NPD
• Ohio Addiction Management LLC

  • Primary Care Clinic/Center
  • Columbus, OH
  • NPI 1649733445

  Mental Health

  Medicare reassignment NPD
• Speak Life Counseling Services, LLC

  • Clinical Social Worker
  • Cincinnati, OH
  • NPI 1679034482
  NPD Authorized official
• Ohio Addiction Management LLC

  • Community/Behavioral Health Agency
  • Dayton, OH
  • NPI 1780577312
  NPD
• Ohio Addiction Management LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Columbus, OH
  • NPI 1790279131
  NPD
• Mindfully, LLC

  • Counselor
  • Jacksonville, FL
  • NPI 1376271981

  Mental Health

  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1369180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579824000000",
    "number": "1457797037",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "98 CHAPEL HILL DR",
            "city": "FAIRFIELD",
            "state": "OH",
            "postal_code": "450145286",
            "telephone_number": "513-212-0427"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "260 NORTHLAND BLVD STE 305B",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452463652",
            "telephone_number": "513-212-0427"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5400 Edalbert Dr",
            "address_purpose": "LOCATION",
            "city": "Cincinnati",
            "state": "OH",
            "postal_code": "452397604",
            "country_code": "US",
            "telephone_number": "513-741-3100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOLLIE",
        "first_name": "ERIC",
        "middle_name": "J.",
        "name_prefix": "Mr.",
        "credential": "LISW-S",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-05-22",
        "last_updated": "2020-01-24",
        "certification_date": "2020-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I.1201368.SUPV.",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0356499",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "speaklifecounseling@yahoo.com",
            "affiliation": "N",
            "address_1": "260 Northland Blvd Ste 305B",
            "city": "Cincinnati",
            "state": "OH",
            "country_code": "US",
            "postal_code": "452463652",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Justine Holliday
• Lexie Lynette Holliday, BCBA
• Michael B Holliday, MD
• Candiss Hollie, LSW
• Christopher L Hollie Sr., L.P.N- E.M.T-B
• Ashley Hollingsworth
• Macey Renee Hollingsworth
• Terrah Hollingswortth
• Cheryl Hollins
• Lashanna Hollins

• Clinical Social Worker in Cincinnati, OH
• Providers in Cincinnati, OH by specialty
• Clinical Social Worker in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.